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Idaho rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.06 / $167.06 / $192.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.06 / $187.52 / $213.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.83 / $170.48 / $170.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.52 / $225.89 / $304.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $213.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.85 / $488.85 / $488.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.12 / $751.07 / $1,260.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.57 / $204.57 / $213.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $272.77